Portercare Adventist Health System, Dba Parker Adventist Hospital in Aurora, Colorado (CO)

Portercare Adventist Health System, Dba Parker Adventist Hospital
Employer Identification Number (EIN)	840438224
Name of Organization	Portercare Adventist Health System
Secondary Name	Dba Parker Adventist Hospital
Address	3025 S Parker Road Suite 510, Aurora, CO 80014-2911
Activities	Hospital
Subsection	Religious Organization
Ruling Date	09/1931
Deductibility	Contributions are deductible
Foundation	Hospital or medical research organization
Organization	Corporation
Exempt Organization Status	Unconditional Exemption
Tax Period	06/2013
Assets	$50,000,000 to greater
Income	$50,000,000 to greater
Filing Requirement	990 (all other) or 990EZ return
Asset Amount	$1,365,736,196
Amount of Income	$980,380,702
Form 990 Revenue Amount	$979,682,442
National Taxonomy of Exempt Entities (NTEE)	Health - General and Rehabilitative: Hospital, General

Non-representatives - add comments:

Amount of income in 2013: $980,380,702

This organization:	$980,380,702
Other organizations performing similar types of work:	$129,251,994

Assets in 2013: $1,365,736,196

Portercare Adventist Health System, Dba Parker Adventist Hospital:	$1,365,736,196
Other organizations performing similar types of work:	$122,242,322

Expenses in 2013: $886,681,732

Portercare Adventist Health System, Dba Parker Adventist Hospital:	$886,681,732
Other organizations performing similar types of work:	$119,720,646

Income to expenses ratio in 2013: 1.1

This organization:	1.1
Other organizations performing similar types of work:	1.1

Expenses allocated to program services in 2007: 82.4%

Portercare Adventist Health System, Dba Parker Adventist Hospital:	82.4%
Other organizations performing similar types of work:	85.7%

Number of employees in 2013: 5,201

This organization:	5,201
Other organizations performing similar types of work:	1,105

Employees paid over $100,000 in 2013: 7.0%

Portercare Adventist Health System, Dba Parker Adventist Hospital:	7.0%
Other organizations performing similar types of work:	0.0%

Grants share in income in 2013: 0.1%

Portercare Adventist Health System, Dba Parker Adventist Hospital:	0.1%
Other organizations performing similar types of work:	0.2%

Financial snapshot ($)

Revenue for 2013

Assets at the end of 2013

Functional expenses for 2013

	2012	2013
Checklist
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?	No	No
Is the organization required to complete Schedule B, Schedule of Contributors?	Yes	Yes
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office?	No	No
Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year?	No	No
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19?	No	No
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts?	No	No
Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures?	No	No
Did the organization maintain collections of works of art, historical treasures, or other similar assets?	No	No
Did the organization report an amount for escrow or custodial account liability; serve as a custodian or provide credit counseling, debt management, credit repair, or debt negotiation services?	No	No
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments?	No	No
Did the organization report an amount for land, buildings, and equipment?	Yes	Yes
Did the organization report an amount for investments-other securities that is 5% or more of its total assets?	No	No
Did the organization report an amount for investments-program related that is 5% or more of its total assets?	Yes	Yes
Did the organization report an amount for other assets that is 5% or more of its total assets?	Yes	Yes
Did the organization report an amount for other liabilities?	Yes	Yes
Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)?	Yes	Yes
Did the organization obtain separate, independent audited financial statements for the tax year?	No	No
Was the organization included in consolidated, independent audited financial statements for the tax year?	Yes	Yes
Is the organization a school described in section 170(b)(1)(A)(ii)?	No	No
Did the organization maintain an office, employees, or agents outside of the United States?	No	No
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more?	No	No
Did the organization report more than $5,000 of grants or other assistance to or for any foreign organization?	No	No
Did the organization report more than $5,000 of aggregate grants or other assistance to or for foreign individuals?	No	No
Did the organization report a total of more than $15,000 of expenses for professional fundraising services?	No	No
Did the organization report more than $15,000 total of fundraising event gross income and contributions?	No	No
Did the organization report more than $15,000 of gross income from gaming activities?	No	No
Did the organization operate one or more hospital facilities?	Yes	Yes
Did the organization attach a copy of its audited financial statements?	Yes	Yes
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government?	Yes	Yes
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals?	Yes	No
Did the organization answer 'Yes' about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees?	Yes	Yes
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002?	No	No
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?	No	No
Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds?	No	No
Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year?	No	No
Did the organization engage in an excess benefit transaction with a disqualified person during the year?	No	No
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?	No	No
Did the organization report any amount for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?	No	No
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons?	No	No
Was the organization a party to a business transaction with one of the following parties
A current or former officer, director, trustee, or key employee?	No	No
A family member of a current or former officer, director, trustee, or key employee?	Yes	Yes
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner?	Yes	Yes
Did the organization receive more than $25,000 in non-cash contributions?	No	No
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions?	No	No
Did the organization liquidate, terminate, or dissolve and cease operations?	No	No
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?	No	No
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3?	No	No
Was the organization related to any tax-exempt or taxable entity?	Yes	Yes
Did the organization have a controlled entity within the meaning of section 512(b)(13)?	Yes	Yes
Did the organization make any transfers to an exempt non-charitable related organization?	No	No
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes?	No	No

	2011	2012	2013
Statements Regarding Other IRS Filings and Tax Compliance
The number reported in Box 3 of Form 1096		0	0
The number of Forms W-2G		0	0
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?		No	No
The number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return		5,017	5,201
Did the organization file all required federal employment tax returns?		Yes	Yes
Did the organization have unrelated business gross income of $1,000 or more during the year?	Yes	Yes	Yes
Has it filed a Form 990-T for this year?		Yes	Yes
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?		No	No
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?		No	No
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?		No	No
Did the organization file Form 8886-T?		No	No
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?		No	No
Did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?		No	No
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?		No	No
Did the organization notify the donor of the value of the goods or services provided?		No	No
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?		No	No
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?		No	No
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?		No	No
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?		No	No
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?		No	No
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?		No	No
Did the sponsoring organization make any taxable distributions under section 4966?		No	No
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?		No	No
Initiation fees and capital contributions	$0	$0	$0
Gross receipts for public use of club facilities	$0	$0	$0
Gross income from members or shareholders	$0	$0	$0
Gross income from other sources	$0	$0	$0
Is the organization filing Form 990 in lieu of Form 1041?		No	No
The amount of tax-exempt interest received or accrued during the year		$0	$0
Is the organization licensed to issue qualified health plans in more than one state?		No	No
The amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans		$0	$0
The amount of reserves on hand		$0	$0
Did the organization receive any payments for indoor tanning services during the tax year?		No	No
Has it filed a Form 720 to report these payments?		No	No

	2012	2013
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
Total reportable compensation from the organization	$8,319,623	$9,071,867
Total reportable compensation from related organizations	$5,927,997	$4,119,149
Total estimated amount of other compensation from the organization and related organizations	$1,223,177	$1,125,737
Total number of individuals who received more than $100,000 of reportable compensation from the organization	256	337
Total number of independent contractors who received more than $100,000 of compensation from the organization	28	28

	2011	2012	2013
Statement of Revenue
Total revenue	$817,100,953	$896,461,831	$979,682,442
Contributions, Gifts, Grants and Other Similar Amounts	$1,381,385	$931,722	$1,049,707
Program Service Revenue	$790,151,213	$878,960,283	$960,887,160
900099		$872,046,279	$954,342,174
900099		$4,172,246	$3,987,048
900099		$2,522,308	$1,995,288
541700		$128,429	$424,833
Educational Support Services		$91,021	$137,817
All other program service revenue		$0	$0
Other Revenue
Investment income (including dividends, interest, and other similar amounts)	$16,424,993	$8,225,950	$10,300,955
Income from investment of tax-exempt bond proceeds	$0	$0	$0
Royalties	$0	$0	$0
Net rental loss	$-147,131	$-6,365	$-6,284
Gross rents (Real / Personal)	$97,745 / $0	$52,699 / $0	$61,851 / $0
Less: rental expenses (Real / Personal)	$244,876 / $0	$59,064 / $0	$68,135 / $0
Rental income or (loss) (Real / Personal)	$-147,131 / $0	$-6,365 / $0	$-6,284 / $0
Net gain/loss from sales of assets other than inventory	$2,586,984	$1,366,583	$202,182
Gross amount from sales of assets other than inventory (Securities / Other)	$235,523 / $2,572,458	$128,033 / $9,741,897	$349,720 / $40,660
Less: cost or other basis and sales expenses (Securities / Other)	$0 / $220,997	$0 / $8,503,347	$0 / $188,198
Gain or (loss) (Securities / Other)	$235,523 / $2,351,461	$128,033 / $1,238,550	$349,720 / $-147,538
Net income/loss from fundraising events	$0	$0	$0
Net income/loss from gaming activities	$0	$0	$0
Net income/loss from sales of inventory	$0	$202,331	$282,087
Gross sales of inventory, less returns and allowances	$0	$532,131	$724,014
Less: cost of goods sold	$0	$329,800	$441,927
Miscellaneous Revenue	$6,703,509	$6,781,327	$6,966,635
722100		$3,243,727	$2,996,528
Pharmacies and Drug Stores		$2,613,214	$2,594,586
Caterers		$290,102	$311,863
All other revenue		$634,284	$1,063,658

	2011	2012	2013
Statement of Functional Expenses
Total functional expenses	$722,881,735	$822,340,221	$886,681,732
Grants and other assistance to domestic organizations and domestic governments		$3,280,378	$1,308,865
Grants and other assistance to domestic individuals		$21,303	$4,838
Grants and other assistance to foreign organizations, foreign governments, and foreign individuals		$0	$0
Benefits paid to or for members		$0	$0
Compensation of current officers, directors, trustees, and key employees	$0	$0	$0
Compensation not included above, to disqualified persons		$0	$0
Other salaries and wages	$227,274,396	$253,528,193	$265,417,806
Pension plan accruals and contributions		$13,961,854	$14,633,989
Other employee benefits		$27,940,494	$29,529,858
Payroll taxes	$15,929,267	$17,455,290	$18,025,001
Fees for services (non-employees)
Management		$56,039,753	$64,441,870
Legal		$125,990	$613,203
Accounting		$179,009	$194,180
Lobbying		$0	$0
Professional fundraising services	$0	$0	$0
Investment management fees		$0	$0
Other		$97,066,441	$109,278,771
Advertising and promotion		$3,173,366	$2,375,600
Office expenses		$167,702,723	$165,614,433
Information technology		$0	$0
Royalties		$0	$0
Occupancy		$15,644,280	$16,401,475
Travel		$1,325,465	$1,186,940
Payments of travel or entertainment expenses for any federal, state, or local public officials		$0	$0
Conferences, conventions, and meetings		$233,290	$357,670
Interest		$18,329,649	$14,063,657
Payments to affiliates		$0	$0
Depreciation, depletion, and amortization		$45,579,170	$44,735,820
Insurance		$5,406,953	$4,495,970
Other expenses		$38,822,690	$71,219,981
Other expenses		$12,787,159	$47,442,268
Other expenses		$40,941,622	$12,188,801
Other expenses		$1,085,052	$1,137,076
Other expenses		$1,710,097	$2,013,660

	2011	2012	2013
Balance Sheet
Total assets	$1,220,174,007	$1,278,954,278	$1,365,736,196
Cash - non-interest-bearing		$2,367,843	$654,163
Savings and temporary cash investments		$18,952,774	$21,593,387
Pledges and grants receivable, net		$0	$0
Accounts receivable, net		$113,097,197	$111,801,820
Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees		$0	$0
Loans and other receivables from other disqualified persons, persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations		$0	$0
Notes and loans receivable, net		$5,041,990	$2,570,749
Inventories for sale or use		$15,336,001	$17,917,398
Prepaid expenses and deferred charges		$2,681,355	$2,591,953
Land, buildings, and equipment: cost or other basis		$498,671,966	$568,490,402
Investments - publicly traded securities		$0	$0
Investments - other securities		$13,039,810	$13,894,871
Investments - program-related		$439,015,332	$463,983,942
Intangible assets		$88,083,520	$88,149,186
Other assets		$82,666,490	$74,088,325
Total liabilities	$478,868,494	$468,079,102	$468,441,985
Accounts payable and accrued expenses		$62,098,664	$71,719,303
Grants payable		$0	$0
Deferred revenue		$24,093	$0
Tax-exempt bond liabilities	$0	$0	$0
Escrow or custodial account liability		$0	$0
Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons		$0	$0
Secured mortgages and notes payable to unrelated third parties	$0	$0	$0
Unsecured notes and loans payable to unrelated third parties	$0	$0	$0
Other liabilities (including federal income tax, payables to related third parties, and other liabilities)		$405,956,345	$396,722,682
Total net assets or fund balances	$741,305,513	$810,875,176	$897,294,211
Unrestricted net assets		$810,771,320	$897,190,355
Temporarily restricted net assets		$103,856	$103,856
Permanently restricted net assets		$0	$0
Capital stock or trust principal, or current funds		$0	$0
Paid-in or capital surplus, or land, building, or equipment fund		$0	$0
Retained earnings, endowment, accumulated income, or other funds	$0	$0	$0

Reason for Public Charity Status (for 2013)
The organization is not a private foundation because it is:	A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii)
Number of organizations supported	0
Sum of amounts of support	$0

	2000	2001	2002	2003	2004	2005	2006	2007
Revenue, Expenses, and Changes in Net Assets or Fund Balances
Total revenue	$363,645,990	$357,766,224	$393,819,951	$426,381,410	$500,466,634	$545,713,245	$622,254,879	$653,513,339
Contributions, gifts, grants, and similar amounts received	$970,076	$810,841	$736,434	$1,327,031	$1,298,149	$659,057	$1,956,049	$1,736,265
Contributions to donor advised funds							$0	$0
Direct public support	$166,402	$35,000	$736,434	$75,887	$51,263	$47,176	$65,437	$165,416
Indirect public support	$803,674	$718,966	$0	$1,251,144	$1,201,475	$554,519	$1,550,535	$1,570,849
Government contributions (grants)	$0	$56,875	$0	$0	$45,411	$57,362	$340,077	$0
Program service revenue including government fees and contracts	$339,857,319	$348,461,441	$382,519,230	$418,478,659	$491,635,576	$531,010,811	$603,444,627	$637,783,146
Membership dues and assessments	$0	$0	$0	$0	$0	$0	$0	$0
Interest on savings and temporary cash investments	$1,310,762	$706,396	$2,280,291	$8,479	$146,734	$733,167	$0	$717,564
Dividends and interest from securities	$5,011,560	$6,250,722	$7,527,131	$5,935,933	$6,540,863	$4,649,568	$6,335,054	$13,555,531
Net rental income or (loss)	$-22,776	$-391,565	$586,001	$0	$-32,042	$9,555	$-34,439	$-74,095
Gross rents	$4,114,564	$2,620,510	$2,657,637	$0	$153,715	$170,363	$146,330	$136,573
Less: rental expenses	$4,137,340	$3,012,075	$2,071,636	$0	$185,757	$160,808	$180,769	$210,668
Other investment income	$0	$0	$0	$0	$0	$0	$0	$0
Gain or (loss) from sales of assets other than inventory	$16,402,879	$1,865,596	$170,864	$353,086	$877,354	$8,651,087	$14,903,455	$-205,072
Gross amount from sales of assets other than inventory	$47,624,856	$147,498,445	$5,360,816	$6,461,035	$2,315,516	$16,406,921	$15,557,383	$132,624
Less: cost or other basis and sales expenses	$31,221,977	$145,632,849	$5,189,952	$6,107,949	$1,438,162	$7,755,834	$653,928	$337,696
Net income or (loss) from special events and activities	$0	$62,793	$0	$0	$0	$0	$0	$0
Gross revenue	$0	$78,144	$0	$0	$0	$0	$0	$0
Less: direct expenses other than fundraising expenses	$0	$15,351	$0	$0	$0	$0	$0	$0
Gross profit or (loss) from sales of inventory	$0	$0	$0	$278,222	$0	$0	$0	$0
Gross sales of inventory, less returns and allowances	$0	$0	$0	$363,273	$0	$0	$0	$0
Less: cost of goods sold	$0	$0	$0	$85,051	$0	$0	$0	$0
Other revenue	$116,170	$0	$0	$0	$0	$0	$-4,349,867	$0
Total expenses	$290,632,139	$318,633,831	$356,788,873	$422,366,550	$478,242,695	$521,509,754	$583,802,139	$625,279,010
Program services	$238,375,868	$261,312,755	$292,656,525	$359,314,828	$411,735,278	$448,961,442	$470,949,050	$515,374,158
Management and general	$52,256,271	$57,321,076	$64,132,348	$63,051,722	$66,507,417	$72,548,312	$112,853,089	$109,904,852
Fundraising	$0	$0	$0	$0	$0	$0	$0	$0
Payments to affiliates	$0	$0	$0	$0	$0	$0	$0	$0
Net assets or fund balances at end of year	$170,022,324	$445,630,159	$478,725,439	$474,802,966	$489,915,478	$504,743,862	$527,076,978	$549,799,647
Excess or (deficit) for the year	$73,013,851	$39,132,393	$37,031,078	$4,014,860	$22,223,939	$24,203,491	$38,452,740	$28,234,329
Net assets or fund balances at beginning of year	$95,483,330	$170,022,324	$445,630,159	$478,725,439	$474,802,966	$489,915,478	$504,743,862	$521,357,978
Other changes in net assets or fund balances	$1,525,143	$236,475,442	$-3,935,798	$-7,937,333	$-7,111,427	$-9,375,107	$-16,119,624	$207,340

	Total	Program services	Management and general	Fundraising
Statement of Functional Expenses (for 2007)
Total functional expenses	$625,279,010	$515,374,158	$109,904,852	$0
Grants paid from donor advised funds		$0
Other grants and allocations		$1,420,400
Specific assistance to individuals		$12,358
Benefits paid to or for members		$0
Compensation of current officers, directors, key employees, etc.	$672,852	$538,282	$134,570	$0
Compensation of former officers, directors, key employees, etc.	$0	$0	$0	$0
Compensation and other distributions, not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)	$0	$0	$0	$0
Salaries and wages of employees not included above	$246,806,936	$195,179,429	$51,627,507	$0
Pension plan contributions not included above	$9,908,680	$7,926,944	$1,981,736	$0
Employee benefits not included above	$21,759,199	$17,407,359	$4,351,840	$0
Payroll taxes	$13,134,801	$10,507,841	$2,626,960	$0
Professional fundraising fees	$0	$0	$0	$0
Accounting fees	$168,349	$0	$168,349	$0
Legal fees	$220,748	$0	$220,748	$0
Supplies	$113,229,396	$90,583,517	$22,645,879	$0
Telephone	$0	$0	$0	$0
Postage and shipping	$178,295	$142,636	$35,659	$0
Occupancy	$9,998,948	$7,999,158	$1,999,790	$0
Equipment rental and maintenance	$3,758,420	$3,006,736	$751,684	$0
Printing and publications	$744,233	$595,386	$148,847	$0
Travel	$847,309	$677,847	$169,462	$0
Conferences, conventions, and meetings	$395,891	$316,713	$79,178	$0
Interest	$20,939,611	$20,939,611	$0	$0
Depreciation, depletion, etc.	$48,438,570	$38,750,856	$9,687,714	$0
Other expenses not covered above	$132,644,014	$119,369,085	$13,274,929	$0

	2000	2001	2002	2003	2004	2005	2006	2007
Balance Sheets
Total assets	$440,018,099	$706,639,347	$778,927,921	$813,518,452	$965,069,933	$1,084,411,727	$1,293,271,991	$1,042,454,563
Cash - non-interest-bearing	$1,403,046	$1,103,130	$2,200,703	$8,714,358	$2,518,054	$1,876,583	$2,067,374	$2,150,800
Savings and temporary cash investments	$3,949,150	$7,117,551	$4,794,682	$1,875,297	$27,874,564	$23,038,380	$22,849,219	$67,977,084
Accounts receivable less allowance for doubtful accounts	$52,114,572	$53,953,400	$61,676,918	$80,066,931	$78,654,567	$92,030,528	$102,898,158	$95,667,501
Pledges receivable less allowance for doubtful accounts	$0	$0	$0	$0	$0	$0	$0	$0
Grants receivable	$0	$0	$0	$0	$0	$0	$0	$0
Receivables from current and former officers, directors, trustees, and key employees	$0	$0	$0	$0	$0	$0	$0	$0
Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)							$0	$0
Other notes and loans receivable less allowance for doubtful accounts	$1,441,167	$2,304,617	$41,632,666	$246,159	$245,103	$290,272	$1,002,950	$817,562
Inventories for sale or use	$5,254,730	$6,407,808	$7,140,370	$7,846,116	$9,735,851	$11,796,239	$12,963,336	$14,075,742
Prepaid expenses and deferred charges	$559,277	$811,382	$1,079,311	$4,836,834	$6,794,235	$8,965,458	$7,848,184	$8,720,159
Investments - publicly-traded securities							$240,953,379	$269,286,410
Investments - other securities	$82,313,004	$906,129	$31,645,400	$129,072,488	$139,641,552	$184,637,979	$0	$0
Investments - land, buildings, and equipment less accumulated depreciation	$9,135,375	$14,654,610	$14,330,826	$0	$2,379,898	$2,408,685	$2,340,974	$2,289,403
Investments - other	$25,370,875	$20,913,363	$12,889,183	$21,132,954	$23,845,411	$27,770,351	$23,438,462	$22,984,058
Land, buildings, and equipment less accumulated depreciation	$92,789,497	$213,893,307	$295,006,690	$363,021,403	$375,611,554	$419,617,430	$451,044,654	$447,150,298
Other assets, including program-related investments	$165,687,406	$384,574,050	$306,531,172	$196,705,912	$297,769,144	$311,979,822	$425,865,301	$111,335,546
Total liabilities	$269,995,775	$261,009,188	$300,202,482	$338,715,486	$475,154,455	$579,667,865	$766,195,013	$492,654,916
Accounts payable and accrued expenses	$53,875,215	$51,570,615	$95,704,560	$107,542,710	$46,690,601	$55,001,170	$57,214,536	$28,394,244
Grants payable	$0	$0	$0	$0	$0	$0	$0	$0
Deferred revenue	$0	$0	$0	$0	$0	$0	$0	$0
Loans from officers, directors, trustees, and key employees	$0	$0	$0	$0	$0	$0	$0	$0
Tax-exempt bond liabilities	$0	$195,916,143	$189,169,040	$223,556,392	$333,390,838	$431,419,019	$420,527,780	$431,629,916
Mortgages and other notes payable	$202,095,872	$6,208,758	$6,779,253	$0	$0	$0	$0	$18,525
Other liabilities	$14,024,688	$7,313,672	$8,549,629	$7,616,384	$95,073,016	$93,247,676	$288,452,697	$32,612,231
Total liabilities and net assets/fund balances	$440,018,099	$706,639,347	$778,927,921	$813,518,452	$965,069,933	$1,084,411,727	$1,293,271,991	$1,042,454,563
Total net assets or fund balances	$170,022,324	$445,630,159	$478,725,439	$474,802,966	$489,915,478	$504,743,862	$527,076,978	$549,799,647

	2000	2001	2002	2003	2004	2005	2006	2007
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
Total revenue	$363,645,990	$357,766,224	$393,819,951	$0	$0	$0	$0	$0
Total revenue, gains, and other support per audited financial statements	$363,645,990	$357,766,224	$393,078,157	$0	$0	$0	$0	$0
Other expenses	$0	$0	$0	$0	$0	$0	$0	$0
Net unrealized gains on investments	$0	$0	$0	$0	$0	$0	$0	$0
Donated services and use of facilities	$0	$0	$0	$0	$0	$0	$0	$0
Recoveries of prior year grants	$0	$0	$0	$0	$0	$0	$0	$0
Other	$0	$0	$0	$0	$0	$0	$0	$0
Other revenue	$0	$0	$741,794	$0	$0	$0	$0	$0
Investment expenses	$0	$0	$0	$0	$0	$0	$0	$0
Other	$0	$0	$741,794	$0	$0	$0	$0	$0

	2000	2001	2002	2003	2004	2005	2006	2007
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
Total expenses	$290,632,139	$318,633,831	$356,788,873	$0	$0	$0	$0	$0
Total expenses and losses per audited financial statements	$290,632,139	$318,633,831	$359,883,050	$0	$0	$0	$0	$0
Other revenue	$0	$0	$3,935,798	$0	$0	$0	$0	$0
Donated services and use of facilities	$0	$0	$0	$0	$0	$0	$0	$0
Prior year adjustments	$0	$0	$0	$0	$0	$0	$0	$0
Losses	$0	$0	$3,935,798	$0	$0	$0	$0	$0
Other	$0	$0	$0	$0	$0	$0	$0	$0
Other expenses	$0	$0	$841,621	$0	$0	$0	$0	$0
Investment expenses	$0	$0	$0	$0	$0	$0	$0	$0
Other	$0	$0	$841,621	$0	$0	$0	$0	$0

Average hours per week devoted to position	Compensation	Contributions to employee benefit plans & deferred compensation plans	Expense account and other allowances
Current Officers, Directors, Trustees, and Key Employees
1	$476,723	$186,836	$9,293

Total number of officers, directors, and trustees permitted to vote on organization business at board meetings	5
Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships?	No
Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization?	Yes
Does the organization have a written conflict of interest policy?	Yes

Other Information
Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?	Yes
Was there a liquidation, dissolution, termination, or substantial contraction during the year?	No
Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?	Yes
Direct and indirect political expenditures	$0
Did the organization file Form 1120-POL for this year?	No
Were substantially all dues nondeductible by members?
Did the organization make only in-house lobbying expenditures of $2,000 or less?
Dues, assessments, and similar amounts from members	$0
Section 162(e) lobbying and political expenditures	$0
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices	$0
Taxable amount of lobbying and political expenditures	$0
Does the organization elect to pay the section 6033(e) tax on the amount above?
If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year?
Initiation fees and capital contributions	$0
Gross receipts for public use of club facilities	$0
At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?	No
Amount of tax imposed on the organization during the year under: section 4911	$0
Amount of tax imposed on the organization during the year under: section 4912	$0
Amount of tax imposed on the organization during the year under: section 4955	$0
Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?	No
Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958	$0
Amount of tax above, reimbursed by the organization	$0
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?	No
Did the organization acquire a direct or indirect interest in any applicable insurance contract?	No
Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year?	No
Number of employees employed in the pay period that includes March 12, 2006	3,703

	Unrelated business income		Excluded by section 512, 513, or 514		Related or exempt function income
Analysis of Income-Producing Activities (for 2007)
	Business code	Amount	Exclusion code	Amount	Related or exempt function income
Total		$2,982,789		$17,322,190	$631,472,095
Program service revenue
Program service revenue 1	000000	$0	00	$0	$465,730,485
Program service revenue 2	000000	$0	Section 501(c)(3) organization - Income from an activity carried on primarily for the convenience of the organization's members, students, patients, visitors, officers, or employees (hospital parking lot or museum cafeteria, for example) (section 513(a)(2))	$2,601,292	$0
Program service revenue 3	Pharmacies and drug stores	$2,376,775	Income from an activity that is not regularly carried on (section 512(a)(1))	$163,101	$0
Program service revenue 4	000000	$0	00	$0	$1,861,958
Program service revenue 5	Scientific research and development services	$606,014	Section 501(c)(3) organization - Income from an activity carried on primarily for the convenience of the organization's members, students, patients, visitors, officers, or employees (hospital parking lot or museum cafeteria, for example) (section 513(a)(2))	$563,869	$169,005
		$0		$0	$465,730,485
		$0		$0	$169,005
	Limited-service eating places	$69,725		$0	$0
		$0		$0	$1,861,958
		$0	3	$2,601,292	$0
		$0	3	$431,006	$0
	Pharmacies and drug stores	$2,376,775	1	$163,101	$0
	Fitness and recreational sports centers	$80,605		$0	$0
	Drycleaning and laundry services	$68,464		$0	$0
		$0	1	$37,365	$0
	Scientific research and development services	$387,220	1	$95,498	$0
Medicare/Medicaid payments	000000	$0	00	$0	$163,710,647
Fees and contracts from government agencies	000000	$0	00	$0	$0
Membership dues and assessments	000000	$0	00	$0	$0
Interest on savings and temporary cash investments	000000	$0	Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)	$717,564	$0
Dividends and interest from securities	000000	$0	Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)	$13,555,531	$0
Net rental income or (loss) from real estate
debt-financed property	000000	$0	00	$0	$0
not debt-financed property	000000	$0	Real property rental income that does not depend on the income or profits derived by the person leasing the property and is excluded by section 512(b)(3)	$-74,095	$0
Net rental income or (loss) from personal property	000000	$0	00	$0	$0
Other investment income	000000	$0	00	$0	$0
Gain or (loss) from sales of assets other than inventory	000000	$0	Gain (or loss, to the extent allowed) from the sale of investments and other non-inventory property and from certain property acquired from financial institutions that are in conservatorship or receivership (sections 512(b)(5) and 512(b)(16)(A))	$-205,072	$0
Net income or (loss) from special events	000000	$0	00	$0	$0
Gross profit or (loss) from sales of inventory	000000	$0	00	$0	$0
Other revenue	000000	$0	00	$0	$0

EIN of corporation, partnership, or disregarded entity	Percentage of ownership interest	Total income	End-of-year assets
Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2007)
841577151	50%	$14,524,263	$55,691,048
810641475	50%	$2,855,974	$2,819,348
841535521	50%	$5,249,338	$2,686,021
710864752	50%	$3,311,800	$2,405,560

Compensation	Contributions to employee benefit plans & deferred compensation	Expense account and other allowances
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (for 2007)
$1,084,519	$47,051	$62,469
$646,208	$46,396	$0
$500,966	$22,143	$4,000
$475,882	$48,222	$0
$450,059	$33,044	$0

Total number of other employees paid over $50,000	1,425

Total number of other employees paid over $50,000

1,425

Statements About Activities (for 2007)
Expenses paid or incurred in connection with the lobbying activities	$14,476
Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures?	No
Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services?	No
Did the organization maintain any donor advised funds?	No
Did the organization make any taxable distributions under section 4966?	No
Did the organization make a distribution to a donor, donor advisor, or related person?	No
The total number of donor advised funds owned at the end of the tax year	$0
The aggregate value of assets held in all donor advised funds owned at the end of the tax year	$0
The total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts	$0
The aggregate value of assets held in all funds or accounts included above at the end of the tax year	$0

Reason for Non-Private Foundation Status
The organization is not a private foundation because it is	Hospital, or a cooperative hospital service organization

	1999	2000	2001	2002	2003	2004	2005	2006
Support Schedule
Total	$0	$0	$0	$0	$0	$0	$0	$0
Gifts, grants, and contributions received	$0	$0	$0	$0	$0	$0	$0	$0
Membership fees received	$0	$0	$0	$0	$0	$0	$0	$0
Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose	$0	$0	$0	$0	$0	$0	$0	$0
Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975	$0	$0	$0	$0	$0	$0	$0	$0
Net income from unrelated business activities not included above	$0	$0	$0	$0	$0	$0	$0	$0
Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf	$0	$0	$0	$0	$0	$0	$0	$0
The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge	$0	$0	$0	$0	$0	$0	$0	$0
Other income	$0	$0	$0	$0	$0	$0	$0	$0

Lobbying Expenditures by Electing Public Charities (for 2007)
Total exempt purpose expenditures	$0
Total lobbying expenditures	$0
Total lobbying expenditures to influence public opinion (grassroots lobbying)	$0
Total lobbying expenditures to influence a legislative body (direct lobbying)	$0
Other exempt purpose expenditures	$0
Lobbying nontaxable amount	$0
Grassroots nontaxable amount	$0

	Income	Expenses	Net
Unrelated Trade or Business Income (for 2008)
Total	$2,606,411	$0	$2,606,411
Gross receipts or sales less returns and allowances	$2,962,789	$0	$0
Cost of goods sold	$0	$0	$0
Gross profit	$2,982,789	$0	$2,982,789
Capital gain net income	$0	$0	$0
Net gain	$0	$0	$0
Capital loss deduction for trusts	$0	$0	$0
Income (loss) from partnerships and S corporations	$-376,378	$0	$-376,378
Rent income	$0	$0	$0
Unrelated debt-financed income	$0	$0	$0
Interest, annuities, royalties, and rents from controlled organizations	$0	$0	$0
Investment income of a section 501(c)(7), (9), or (17) organization	$0	$0	$0
Exploited exempt activity income	$0	$0	$0
Advertising income	$0	$0	$0
Other income	$0	$0	$0

Deductions Not Taken Elsewhere (for 2008)
Total deductions	$3,258,854
Compensation of officers, directors, and trustees	$1,120
Salaries and wages	$697,462
Repairs and maintenance	$12,647
Bad debts	$0
Interest	$0
Taxes and licenses	$137
Charitable contributions	$0
Depreciation	$14,168
Depletion	$0
Contributions to deferred compensation plans	$0
Employee benefit programs	$158,898
Excess exempt expenses	$0
Excess readership costs	$0
Other deductions	$2,374,422
Unrelated business taxable income	$-652,443
Unrelated business taxable income before net operating loss deduction	$-652,443
Net operating loss deduction	$0
Unrelated business taxable income before specific deduction	$-652,443
Specific deduction	$0

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Id	Name	Address	State	Established	Total Income
Organizations performing similar types of work
1	Catholic Health Initiatives Colorado, St Anthony North Hospital	3025 S Parker Road Suite 510, Aurora, CO 80014-2911	CO	1946-03	$1,621,612,108
2	Portercare Adventist Health System, Dba Parker Adventist Hospital	3025 S Parker Road Suite 510, Aurora, CO 80014-2911	CO	1931-09	$980,380,702
3	Poudre Valley Health Care Inc	2315 E Harmony Rd Ste 200, Fort Collins, CO 80528-8620	CO	1995-02	$833,047,994
4	Boulder Community Health, Boulder Community Hospital	PO BOX 9109, Boulder, CO 80301	CO	1939-07	$722,557,596
5	Tufts Medical Center Parent Inc, Group Return	800 Washington Street Box 468, Boston, MA 02111-1552	MA	2008-05	$718,450,671
6	Scl Health - Front Range Inc	2480 West 26th Ave Sute 200 B, Denver, CO 80211	CO	1999-02	$681,900,699
7	Saint Joseph Hospital	1835 Franklin St, Denver, CO 80218-1126	CO	1946-03	$497,536,222
8	St Vincent Healthcare	2480 W 26th Ave Ste 200b, Denver, CO 80211-5326	CO	1946-03	$429,234,108
9	St Marys Hospital And Medical Center Inc	2480 W 26th Ave Ste 200b, Denver, CO 80211-5326	CO	1946-03	$413,767,780
10	Parkview Medical Center Inc	400 W 16th St, Pueblo, CO 81003-2745	CO	1984-03	$357,232,031
11	Sjrmc Joplin Missouri	198 Inverness Dr W, Englewood, CO 80112-5202	CO	1979-02	$273,177,806
12	Syracuse Community Health Center Inc	819 S Salina St, Syracuse, NY 13202-3527	NY	1992-09	$24,912,238
13	Wenatchee Valley Hospital	820 N Chelan Ave, Wenatchee, WA 98801-2028	WA	2014-06	$119,952,304
14	Weeks Medical Center	173 Middle St, Lancaster, NH 03584-3508	NH	1946-12	$44,728,107
15	Indiana University Health Morgan Hospital Inc	2209 John R Wooden R Drive, Martinsville, IN 46151	IN	2011-09	$39,950,032
16	Steward St Elizabeths Medical Center Of Boston Inc	30 Perwal St, Westwood, MA 02090-1928	MA	1946-03	$24,402,508
17	St Lukes Jerome Ltd	190 E Bannock St, Boise, ID 83712-6241	ID	2014-05	$18,622,834
18	Dimmit Regional Hospital	PO BOX 1016, Carrizo Spgs, TX 78834-7016	TX	2014-08	$18,383,438
19	Jones County Regional Healthcare System	1601 Columbia St, Stamford, TX 79553-6863	TX	2014-09	$10,742,038
20	Swisher Memorial Healthcare System	539 Se 2nd Strcct, Tulia, TX 79088	TX	2014-08	$10,124,837

Number of organizations performing similar types of work

Alaska	3
Alabama	19
Arkansas	22
Arizona	15
California	112
Colorado	25
Connecticut	29
District of Columbia	2
Delaware	6
Florida	53
Georgia	52
Hawaii	5
Iowa	27
Idaho	9
Illinois	104
Indiana	48
Kansas	25
Kentucky	32
Louisiana	22
Massachusetts	44
Maryland	41
Maine	19
Michigan	58
Minnesota	34
Missouri	50

Mississippi	19
Montana	11
North Carolina	47
North Dakota	12
Nebraska	20
New Hampshire	21
New Jersey	50
New Mexico	7
Nevada	4
New York	130
Ohio	96
Oklahoma	17
Oregon	24
Pennsylvania	131
Rhode Island	10
South Carolina	15
South Dakota	9
Tennessee	25
Texas	57
Virginia	37
Vermont	8
Washington	22
Wisconsin	67
West Virginia	24
International	10

Total

1,729

Affiliation	Name	Address	State	Established	Total Income
20 biggest affiliated organizations
Subordinate	Loma Linda University	PO BOX 2000, Loma Linda, CA 92354-0200	CA	1950-01	$3,315,441,382
Subordinate	Adventist Health System Sunbelt Inc	900 Hope Way, Altamonte Spg, FL 32714-1502	FL	1950-01	$3,232,259,164
Subordinate	Seventh-Day Adventists Loma Linda University Medical Center Inc	PO BOX 2000, Loma Linda, CA 92354-0200	CA	1947-04	$1,288,000,186
Subordinate	Portercare Adventist Health System, Dba Parker Adventist Hospital	3025 S Parker Road Suite 510, Aurora, CO 80014-2911	CO	1931-09	$980,380,702
Subordinate	Adventist Healthcare Inc, Adventist Behavioral Health Eastern	820 W Diamond Ave Ste 600, Gaithersburg, MD 20878-1469	MD	1947-04	$819,910,080
Subordinate	Kettering College	2110 Leiter Rd, Miamisburg, OH 45342-3598	OH	1947-04	$682,488,958
Subordinate	Adventist Health System Sunbelt Healthcare Corporation	900 Hope Way, Altamonte Spg, FL 32714-1502	FL	1947-04	$535,227,154
Subordinate	Dayton Osteopathic Hospital, Dba Southview Medical Center	2110 Leiter Rd, Miamisburg, OH 45342-3598	OH	1947-04	$333,694,111
Subordinate	Portland Adventist Medical Center	10123 Se Market St, Portland, OR 97216-2532	OR	1947-04	$317,892,351
Subordinate	Adventist Health System-West, Adventist Health	2100 Douglas Blvd, Roseville, CA 95661-3898	CA	1947-04	$296,500,295
Subordinate	Memorial Health Systems Inc, Florida Hospital Memorial Med Ctr	770 W Granada Blvd Ste 101, Ormond Beach, FL 32174-5179	FL	1947-04	$255,596,080
Subordinate	Sonora Community Hospital, Dba Sonora Regional Medical Center	1000 Greenley Rd, Sonora, CA 95370-5200	CA	1947-04	$210,628,521
Subordinate	Florida Hospital Waterman Inc	1000 Waterman Way, Tavares, FL 32778-5266	FL	1992-07	$204,408,195
Subordinate	St Helena Hospital	10 Woodland Rd, Saint Helena, CA 94574-9554	CA	1947-04	$195,787,857
Subordinate	Feather River Hospital	5974 Pentz Rd, Paradise, CA 95969-5509	CA	1993-07	$184,528,992
Subordinate	Memorial Hospital Flagler Inc, Florida Hospital-Flagler	770 W Granada Blvd Ste 101, Ormond Beach, FL 32174-5179	FL	1947-04	$164,824,429
Subordinate	Southwest Volusia Healthcare Corporation, Florida Hospital Fish Memorial	1055 Saxon Blvd, Orange City, FL 32763-8468	FL	1950-01	$130,165,075
Subordinate	Hackettstown Community Hospital, Hackettstown Regional Medical Ctr	651 Willow Grove St, Hackettstown, NJ 07840-1799	NJ	1950-01	$128,807,563
Subordinate	Memorial Hospital-West Volusia Inc, Florida Hospital Deland	701 W Plymouth Ave, Deland, FL 32720-3236	FL	1947-04	$123,138,698
Subordinate	Ukiah Adventist Hospital, Ukiah Valley Medical Ctr	275 Hospital Dr, Ukiah, CA 95482-4531	CA	1947-04	$117,655,223

Number of affiliated organizations

Alaska	6
Alabama	13
Arkansas	12
Arizona	18
California	170
Colorado	27
Connecticut	13
District of Columbia	2
Delaware	2
Florida	103
Georgia	36
Hawaii	11
Iowa	8
Idaho	21
Illinois	25
Indiana	19
Kansas	15
Kentucky	17
Louisiana	10
Massachusetts	20
Maryland	56
Maine	7
Michigan	53
Minnesota	15
Missouri	15
Mississippi	8

Montana	16
North Carolina	31
North Dakota	4
Nebraska	11
New Hampshire	5
New Jersey	15
New Mexico	5
Nevada	7
New York	51
Ohio	27
Oklahoma	11
Oregon	47
Pennsylvania	22
Rhode Island	3
South Carolina	12
South Dakota	3
Tennessee	39
Texas	56
Utah	7
Virginia	23
Vermont	6
Washington	50
Wisconsin	14
West Virginia	9
Wyoming	2
International	3